Parenteral fluid administration set

ABSTRACT

A parenteral fluid administration set includes a non-vented adapter having a frusto-conically shaped recess therein for removably engaging the tapered tip of a vented container. The adapter includes a bore therethrough communicating with the recess. A drip chamber having an upper portion with a conduit therethrough and a flexible transparent body portion extending downwardly from the upper portion and terminating in a lower end, is provided. The upper portion of the drip chamber is connected to the adapter so that the bore and the conduit are in fluid communication. A flexible tube includes a first end connected to the lower end of the body portion of the drip chamber and a second end. Fluid delivery means for facilitating the delivery of parenteral fluid from the tube to the patient is connected to the second end of the tube.

BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates to a container and an administration setfor administering parenteral fluids and more particularly concerns avariable-volume vented container and a parenteral fluid administrationset for the administration of parenteral solutions.

2. Description of the Prior Art.

Parenteral solutions are routinely administered in patient therapy. Acommon example is the intravenous solution, such as sterile water or 5%dextrose in water, which is normally gravity fed into the patient'svenous system from a bottle or bag reservoir through a transparent dripchamber, which provides visual evidence of the rate of flow of thesolution, through a length of tubing into a needle or catheter, which isplaced into the patient. An adjustable clamp is placed on the tubing andis used to deflect the tubing and change the flow rate of the solution.

Intravenous solutions contained in rigid bottles are commonly used witha vented adapter which has structure for establishing fluidcommunication with the interior of the bottle and usually includes aone-way valve which will allow air into the bottle to replace the liquidwhich has run out of the bottle through the I.V. tubing into thepatient. Also, a filter is often provided to filter out airborneparticles and possibly bacteria from the venting air entering the bottlethrough the valve. Such an adapter is taught in U.S. Pat. No. 2,668,533to Evans.

If the bottle containing the intravenous solution includes ventingstructure, the adapter does not require a one-way valve or a filter,however, it will still include structure for providing a direct conduitfrom the interior of the bottle to the drip chamber as illustrated inU.S. Pat. No. 2,884,924 to Shaw. Also, if the I.V. solution is containedin a flexible bag an adapter without venting capacity may be used.

Most I.V. administration sets include a specific adapter for connectionto a reservoir, a flexible transparent drip chamber, tubing, a clamp onthe tubing, a "Y" site having a pierceable septum so that a secondaryI.V. set can be attached, and an injection needle or catheter. Secondaryintravenous setups usually include a smaller container or reservoir foradministering medication such as antibiotics and vitamins. SecondaryI.V. administration sets usually include an appropriate adapter, aflexible drip chamber, tubing and a needle cannula for piercing theseptum at the "Y" site and establishing fluid communication with theprimary I.V. set. In some secondary setups where flow rate is notcritical, medication is injected directly into the I.V. line, as taughtin U.S. Pat. No. 2,999,499 to Willet. More commonly, however, thesecondary setup includes another flexible or rigid container for themedication, as illustrated in U.S. Pat. No. 4,432,756 to Urquhart et al.

Secondary intravenous medication containers are routinely prepared bythe hospital pharmacy using specialized equipment and procedures whichare sometimes unique for the secondary I.V. reservoirs. Some of thecomponents such as, flexible reservoir bags, are expensive and some ofthe procedures are time consuming.

However, hospital pharmacies routinely fill syringes with liquidmedication. The syringe is a low cost container and the equipment, suchas a pipetter, and valve and tube sets, are readily available and easyto use efficiently. Quest Medical, Inc. of Carrollton, Tex. presentlymarkets an adapter similar to that taught by Evans in U.S. Pat. No.2,668,533 referred to hereinabove. This adapter includes a filter and aone-way valve and a female luer fitting which allows the use of anordinary disposable syringe as an I.V. container. The syringe is lessexpensive than other commercially available containers and is easilyprepared by the hospital pharmacy. The cost of this secondary setupincluding the syringe is comparable to other secondary I.V. setups,however, savings may be achieved when more than one syringe is used withthe same I.V. set.

Various parenteral solution reservoirs, such as vented and non-ventedbottles, bags and syringes, and various I.V. setups some includingone-way valves and filters and various other features have beenaddressed by the prior art, as alluded to above. However, there is stilla need for a simple, straightforward, reliable, easily fabricatedparenteral solution container which can be easily filled in a hospitalpharmacy and can be used with a simple inexpensive I.V. administrationset which does not include valves and filters.

SUMMARY OF THE INVENTION

An operable variable-volume vented container assembly of the presentinvention, for use in administering parenteral fluids, includes ahousing having a chamber for retaining fluid. The distal end portion ofthe housing includes a passageway therethrough for communicating withthe chamber. Venting means communicating between the chamber and theexterior of the housing, for allowing air to enter the chamber as fluidleaves the chamber through the passageway, is provided. The ventingmeans includes an air-permeable liquid-impermeable means positioned toallow gases passing through the venting means to pass through theelement. A stopper is slidably positioned in fluid-tight engagementinside the housing.

In accordance with another embodiment of the present invention, anoperable disposable variable-volume container assembly for use inadministering parenteral fluids comprises an elongate substantiallycylindrical housing having a chamber for retaining fluid. A tip extendsfrom a distal end of the housing and has a passageway therethroughcommunicating with the chamber. The tip is adapted to engage aparenteral fluid administration set so that there is fluid communicationbetween the chamber and the administration set. Venting meanscommunicating between the chamber and the exterior of the housing, forallowing air to enter the chamber as fluid leaves the chamber throughthe passageway, is provided. The venting means includes an air-permeableliquid-impermeable element positioned to allow gases passing through theventing means to pass through the element. The element is porous andcapable of developing sufficiently high surface tension under liquidcontact to serve as a barrier against liquid passage therethrough duringnormal use of the container assembly. A stopper is slidably positionedin fluid-tight engagement inside the housing and is capable of beingmoved by fluid pressure in the chamber. The fluid containing volume ofthe container is variable and related to the distance between thestopper and distal end of the housing. Closure means for releasablysealing the passageway is provided. A therapeutic liquid in the chamberis contained substantially between the stopper and the distal end of thehousing.

In accordance with another aspect of the present invention, an operablevented receptacle for use in administering parenteral fluids comprisesan elongate substantially cylindrical housing having an interior walldefining a chamber for retaining fluid. The chamber is adapted to accepta resilient stopper in slidable fluid-tight engagement therein. A tipextends from a distal end of the housing having a passagewaytherethrough communicating with the chamber. This tip is adapted toengage a parenteral fluid administration set so that there is fluidcommunication between the chamber and the administration set. Ventingmeans communicating between the chamber and the exterior of the housing,for allowing air to enter the chamber as fluid leaves the chamberthrough the passageway, is provided. The venting means includes anair-permeable liquid-impermeable element positioned to allow gasespassing through the venting means to pass through the element. Theelement is porous and capable of developing sufficiently high surfacetension under liquid contact to serve as a barrier against liquidpassage therethrough during normal use of the receptacle.

In another aspect of the present invention, a parenteral fluidadministration set includes a nonvented adapter having afrusto-conically shaped recess therein adapted to removably engage thetapered tip of a vented container wherein the adapter includes a boretherethrough communicating with the recess. A drip chamber having anupper portion with a conduit therethrough and a flexible transparentbody portion extending downwardly from the upper portion and terminatingin a lower end is connected to the non-vented adapter so that the borein the adapter and the conduit are in fluid communication. A flexibletube having a first end connected to the lower end of the drip chamberbody portion and a second end connected to fluid delivery means forfacilitating the delivery of parenteral fluid from the tube to thepatient.

In another embodiment of this other aspect of the invention, aparenteral fluid administration set for use with a variable-volumevented container including a housing having a chamber for retainingfluid and a tip extending from the housing having a passagewaytherethrough communicating with the chamber wherein the tip isfrusto-conically shaped having a smaller outside diameter at the distalend of the tip than at the proximal end of the tip includes a non-ventedadapter having a frusto-conically shaped recess therein adapted toremovably engage the tapered tip of the vented container. Thisnon-vented adapter includes a bore therethrough communicating with therecess wherein the bore is positioned to allow fluid communicationbetween the bore and the passageway in the vented container tip when thetip engages the recess. A drip chamber having an upper portion with aconduit therethrough is connected directly to the adapter so that thebore in the adapter and the conduit are in fluid communication. The dripchamber also includes a flexible transparent body portion extendingdownwardly from the upper portion and terminating in a lower end. Aflexible tube has a first end connected to the lower portion of thetransparent body portion and a second end connected to fluid deliverymeans for facilitating the delivery of parenteral fluid from the tube tothe patient.

In accordance with the principles of the present invention a number ofadvantages and objectives are obtained. The present invention provides asimple, straightforward, reliable, easily fabricated variable-volumevented container assembly for the storage and administration ofparenteral fluids. The instant invention provides an air-permeableliquid-impermeable venting means which eliminates the need for usingadapters having one way valves and/or filters, as will become apparenthereinafter. The instant invention also provides a variable-volumecontainer assembly which can be easily filled in the hospital pharmacyusing known inexpensive filling devices, commonly used for fillinghypodermic syringes so that additional equipment is not necessary.Another aspect of the present invention provides a simple,straightforward, reliable, easily fabricated I.V. administration set foruse with the variable volume vented container assembly and other ventedcontainer assemblies.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a perspective view of the variable-volume vented containerassembly of the present invention;

FIG. 2 is a cross-sectional view of the vented container assembly ofFIG. 1 taken along line 2--2;

FIG. 3 is an enlarged cross-sectional view of the vented containerassembly of FIG. 1 taken along line 3--3;

FIG. 4 is a side elevation view of an alternative embodiment of thevariable-volume vented container assembly of the present invention;

FIG. 5 is a cross-sectional view of the vented container assembly ofFIG. 4 taken along line 5--5;

FIG. 6 is a side elevation view of another alternative embodiment of thepresent variable-volume vented container assembly of the presentinvention;

FIG. 7 is a cross-sectional view of the vented container assembly ofFIG. 6 taken along line 7--7;

FIG. 8 is a side elevation view of a parenteral fluid administration setof the present invention for use with a vented container assembly;

FIG. 9 is a cross-sectional view of the parenteral fluid administrationset of FIG. 8 taken along line 9--9;

FIG. 10 is a cross-sectional view of the parenteral fluid administrationset of FIG. 8 taken along line 10--10;

FIG. 11 is a side elevation view of another embodiment of a parenteralfluid administration set of the present invention; and

FIGS. 12-16 are side elevation views of the vented container assembly ofFIGS. 6 and 7 in use with a parenteral fluid administration set.

DETAILED DESCRIPTION

While this invention is satisfied by embodiments in many differentforms, there is shown in the drawings and will herein be described indetail preferred embodiments of the invention with the understandingthat the present disclosure is to be considered as exemplary of theprinciples of the invention and is not intended to limit the inventionto the embodiments illustrated. The scope of the invention will bemeasured by the appended claims and their equivalents.

Adverting to FIGS. 1 through 3, an operable variable-volume ventedcontainer assembly 20 includes an elongate substantially cylindricalrigid barrel or housing 21 having a chamber 22 for retaining fluid. Atip 23 extends from a distal end 25 of the barrel and contains apassageway 26 therethrough communicating with chamber 22. For thepurposes of the description of the present invention, the term "distalend" is meant to refer to the end of the housing which contains the tipportion or the passageway, whereas the term "proximal end" is meant torefer to the open end of the housing or the end furthest from the tipportion or the passageway. Tip 23 is preferably frusto-conically shapedhaving a smaller outside diameter at the distal end of the tip than atthe proximal end of the tip. A preferably resilient closure or tip cap28 is releasably connected to tip 23 and releasably seals passageway 26in an air-tight manner. Tip cap flange 29 is provided to facilitateinstallation and removal of the tip cap. A flange 31 is preferablyprovided at proximal end 32 of the housing to facilitate handling thehousing and suspending the housing in a vertical orientation foradministering parenteral fluid 34 contained therein.

A venting nipple 35 is positioned at and extends from distal end 25 ofthe housing. The venting nipple includes aperture 37 for allowing air toenter chamber 22 as parenteral fluid leaves the chamber throughpassageway 26, as will be explained in more detail hereinafter. Acircular plug 38, having flange 39 and conduit 40 is attached to theventing nipple. An air-permeable liquid-impermeable element 41 isattached to flange 39 so that gases passing through aperture 37 mustpass through element 41. The air-permeable liquid-impermeable element isporous and capable of developing sufficiently high surface tension underliquid contact so that it serves as a barrier against liquid passagetherethrough during the normal use of the container assembly.

Air-permeable liquid-impermeable element 41 is preferably a thin porousmembrane having a maximum pore rating of preferably about 0.5 microns.This pore rating should be sufficient to entrap particulate matterincluding microorganisms which may be found in the hospital environmentin which the present invention is intended to be used. In addition topreventing liquid from leaving the container through aperture 37, theair-permeable liquid-impermeable element allows air to enter chamber 22through element 41, conduit 40 and aperture 37 to replace liquid which,when the instant invention is in use, flows out of the chamber throughpassageway 26. In the preferred embodiment, element 41, because of its0.5 micron pore rating, can filter out microorganisms and prevent thesemicroorganisms from entering the parenteral fluid which will betransmitted to the patient. In addition, some fluid medicaments, whichcan be used with the present invention, such as in chemotherapy, containingredients which should be contained within the fluid system and notallowed to enter the surrounding environment. To this end, element 41 isalso very useful.

Also, as will be explained in more detail hereinafter, element 41 may beattached to the flange portion of plug 38 via heat sealing, adhesive orother suitable means. Further, plug 38 is connected to venting nipple 35via an interference fit between the outside diameter of the plug and theinside diameter of aperture 37, or by use of adhesive, ultrasonicwelding or other suitable means. It will be apparent to one skilled inthe art that numerous constructions can be used to cover an aperture ina housing with an air-permeable liquid-impermeable element and that thestructure described hereinabove is exemplary of these manypossibilities. It is within the purview of the present invention toinclude a structure similar to plug 38 but with a larger conduit so thatit takes the form of a cap and engages or is attached to the outsidesurface of the venting nipple rather than being positioned within theaperture as described hereinabove. Also, it is within the purview of thepresent invention to include the structure wherein the entire plug ismade of air-permeable liquid-impermeable material which is attached tothe venting nipple, or any manner of orifice containing structure,wherein the orifice is covered by an air-permeable liquid-permeableelement so that air passing through the orifice must also pass throughthe element.

A resilient stopper 43 is slidably positioned in fluid-tight engagementinside the housing. The stopper outside diameter is larger than theinside diameter of the housing so that the stopper, when introduced intothe housing, is compressed enough to provide adequate pressure betweenthe housing and the stopper to seal this interface, but yet remainsslidable within the barrel under the influence of fluid pressure in thechamber. Preferred stopper 43 includes a piston-like body 44 havingdistal end 45, a proximal end 46, and annular ribs 47 having an outsidediameter larger than the inside diameter of the housing.

It is preferred that the vented container of the instant invention beassembled so that distal end 45 of the stopper is adjacent to distal end25 of the housing. A known piston pump or pipetter may be used to fillthe preferred vented container of the present invention by removing thetip cap and connecting the pump to tip 23 of the housing via tubing anda female luer adapter. The pump can be filled with the desiredmedication and set so that one stroke of the pump is the desired volume.When the preferred container is connected to the piston pump one cycleof the pump will force the desired amount of fluid through passageway 26into the chamber. The fluid pressure will force stopper 43 along theinside of the chamber. Any residual air which may be present inside thechamber may pass through the air-permeable liquid-impermeable element sothat the entire chamber is substantially filled with liquid. It may benecessary during the filling operation to orient the container so thatthe entrapped air is directed toward element 41. After the container isfilled with the desired amount of parenteral fluid, the tip cap isreplaced and the vented container may be placed in storage or deliveredto the point of use and connected to a parenteral fluid administrationset, as will be explained in more detail hereinafter. It should be notedthat, because stopper 43 moves along the inside diameter of the housingas fluid is forced through passageway 26, the container of the instantinvention can hold various volumes of fluid because the volume of thecontainer is variable and is related to the distance between distal end45 of the stopper and the distal end of the chamber.

Referring now to FIGS. 4 and 5, an alternative variable-volume ventedcontainer assembly 50 of the present invention, for use in administeringparenteral fluids, includes an elongate barrel-shaped housing 51 havinga substantially circularly shaped cross section when viewed along itslongitudinal axis, and having a chamber 52 for retaining fluid. Housing51 includes an open proximal end 53 and a distal end 55 having apassageway 57 therethrough communicating with chamber 52. Venting meansis provided for communicating between chamber 52 and the exterior of thehousing for allowing air to enter the chamber as fluid leaves thechamber through the passageway. In this embodiment, the venting meansincludes an aperture 58 in the side wall of housing 51 extending betweenchamber 52 and the outside of the housing. Aperture 58 is covered by anair-permeable liquid-impermeable element 59 positioned so that all gasesexchanged through aperture 58 pass through element 59. In thisembodiment, element 59 is a sheet or membrane preferably having amaximum pore rating of about 0.5 micron for filtering particulate matterfrom gas passing therethrough so that the membrane serves as asubstantial barrier against the passage of particles about 0.5 micronand larger, including microorganisms. It should be noted that it is alsowithin the purview of the present invention to include a membrane shapedelement covering the aperture in the housing from the inside. Acarefully placed thin membrane could seal from the inside, possibly in arecess within the chamber, without substantially adversely effecting theoperation of the container.

A resilient stopper 61 is slidably positioned in fluid-tight engagementinside the housing. Stopper 61 is capable of being moved by fluidpressure in chamber 52. The fluid containing volume of containerassembly 50 is variable and related to the distance between stopper 61and the distal end 55 of the housing. In this embodiment, element 59 ismade of polymeric material and is attached to the outside diameter ofthe housing using adhesive, ultrasonic welding, heat sealing or othersuitable means. A resilient closure or tip cap 62 releasably sealspassageway 57 so that a therapeutic liquid such as parenteral fluid 63is contained within chamber 52 until the time of use of the containerassembly.

Referring now to FIGS. 6 and 7, another alternative embodiment of thepresent variable-volume vented container assembly 70, for use inadministering parenteral fluids, includes a housing 71 having a chamber73 for retaining parenteral fluid. Housing 71 has a substantiallycircularly shaped cross section, an open proximal end 74, and a tip 86extending from a distal end 75 having a passageway 76 therethroughcommunicating with chamber 73. Tip 86 is preferably frusto-conicallyshaped having a smaller outside diameter at the distal end of the tipthan at the proximal end of the tip. Tip 86 is preferably proportionedto accept standard available female luer fittings, which can be used aspart of a parenteral fluid administration set, which will be discussedin more detail hereinafter. It is also within the purview of the presentinvention for the housing to include a circular internally threadedreceptacle or collar concentric with and larger than the tapered luertip. This type of fitting, i.e., the combination of a tapered luer tipand surrounding threaded receptacle or collar is referred to as aslocking luer tip and is illustrated in U.S. Pat. No. 3,402,713 toSenkowski et al. The female locking luer fitting used with a lockingluer tip has a tapered receptacle adapted to accept the luer tip, andwings projecting radially outwardly from the mouth of the receptacle sothat the locking luer tip may be placed in the female locking luerfitting and rotated in a clockwise direction until the wings engage thethreads in the collar and pull the tapered receptacle into tightfrictional engagement with the tapered tip.

In this embodiment the venting means includes an aperture 77 through theproximal end of the housing extending between chamber 73 and the outsideof the housing for allowing air to enter the chamber as fluid leaves thechamber through passageway 76. Air-permeable liquid-impermeable element79 is positioned on the outside of the housing covering aperture 77 sothat gases passing through the aperture pass through the element.Element 79 is porous and capable of developing sufficiently high surfacetension under liquid contact to serve as a barrier against liquidpassage therethrough during normal use of the container assembly. Astopper 80 is slidably positioned in fluid-tight engagement inside thehousing. The stopper is capable of being moved by fluid pressure in thechamber. The fluid containing volume of the container is variable andproportional to the distance between the distal end of stopper 80 andthe distal end of the barrel. Stopper 80 engages a rigid elongateplunger rod 81. In this embodiment, the stopper contains internal thread82 which engages external thread 83 on the plunger rod, when assembled,as best illustrated in FIG. 7. The plunger rod extends outwardly fromthe proximal end of the housing and is accessible outside of theproximal end of the housing. Disc-shaped plunger rod flange 85 isprovided as a convenient structure for applying force to move theplunger rod which will in turn move the stopper along the housing. Theplunger rod can be installed when the container is assembled, or it maybe provided as a separate unattached component which is engaged to thepiston at the time the container is to be filled. It will be apparent toone skilled in the art that numerous constructions can be used to join astopper and a plunger rod and that the arrangement described above isexemplary of these many possibilities. Also, it is within the purview ofthis invention to include a one-piece plunger rod-stopper assembly.

In this embodiment of the instant vented container assembly, the chambercan be filled with parenteral fluid without the use of an auxiliarypumping system. The user can connect tapered tip 86 of the housing to aconventional tubing adapter and tubing which is in turn placed in areservoir of parenteral fluid. The user can now draw fluid into thechamber by moving the plunger rod, which in turn moves the stopper, awayfrom the distal end of the housing until the desired volume ofparenteral fluid 87 is contained within the chamber. At this point,resilient closure or tip cap 88 is placed on tip 86 to seal passageway76. In this embodiment, the placement of aperture 77 near the distal endof the housing allows the parenteral fluid to be stored while not beingin contact with the air-permeable liquid-impermeable element. Also, theplacement of the element at the proximal end of the housing allowsfilling using the plunger rod rather than a pump. However, it should benoted that the plunger rod and stopper assembly can be used in otherembodiments of the instant invention having an aperture and elementlocated at the distal end of the housing. With these embodiments it willbe necessary to cover the element, to prevent air from passingtherethrough, while withdrawing the plunger rod and stopper to fill thechamber. It is within the purview of the present invention to include aremovable cap or other removable sealing means for releasably sealingthe venting means in an air tight manner so that air cannot passtherethrough during a filling procedure using subatmospheric pressuresupplied by a plunger rod or similar device. Also, it may be possible toocclude a distally placed aperture using the operator's fingers.

Referring now to FIGS. 8-10, the variablevolume vented containerassembly of the instant invention can be used in intravenous therapyprocedures wherein various solutions, antibiotics, vitamins or othertherapeutic liquids are transferred from the container assembly to thepatient's venous system for absorption into the body. Another aspect ofthe present invention is a parenteral fluid administration set for usewith a vented container such as the variable-volume vented container.Because the variable-volume vented container of the instant inventionwas not previously known to the art, parenteral fluid administrationsets for use with this variable-volume vented container are required. Aparenteral fluid administration set may be a primary intravenous (I.V.)set for delivery of intravenous fluid from the variable-volume ventedcontainer directly to the patient's body or a secondary I.V. set fordelivery of parenteral fluid from the variable-volume vented containerto a primary I.V. set which in turn delivers this fluid to the patient'sbody. Secondary I.V. setups are frequently used to administer medicationto a patient by introducing the medication into a functioning primaryI.V. setup. FIGS. 8-10 illustrate a parenteral fluid administration setin the form of a secondary I.V. set 100 for use with a vented containersuch as the variable-volume vented container. The secondary I.V. setincludes a non-vented adapter 101 having a frusto-conically shapedrecess 102 adapted to removably engage the tapered tip of the variablevolume vented container. Adapter 101 has a bore 108 therethroughcommunicating with recess 102. A drip chamber 103 includes an upperportion 114 having a conduit 115 therethrough and a flexible transparenthollow body portion 116 extending downwardly from the upper portion andterminating in a lower end 117. Upper portion 114 is connected tonon-vented adapter 101 so that bore 108 and conduit 115 are in fluidcommunication. It should be noted that it is also within the purview ofthe present invention to include an embodiment wherein the adapter andthe upper portion of the drip chamber are integrally formed such as byinjection molding to form a one-piece construction. It is also withinthe purview of the present invention to include members betweennon-vented adapter 101 and upper portion 114, such as flexible tubing,wherein the adapter in the upper portion are indirectly connected toeach other through the flexible tube or other conduit means.

A flexible tube 105, preferably having a circularly-shaped crosssection, has a first end 118 and a second end 120 wherein first end 118is connected to lower end 117 of the flexible transparent body portionso that there is fluid communication between the interior of theflexible portion and the interior of the tube. It is preferred that thelower end 120 of the flexible tube be connected to fluid delivery meansfor facilitating the delivery of the parenteral fluid from the tube tothe patient. In a secondary I.V. setup the fluid delivery means caninclude a male luer adapter or a male locking luer adapter 106 having atapered tip 119 having a fluid channel 121 therethrough. The tapered tipis adapted to engage a hypodermic needle assembly 107 and to establishfluid communication between the needle assembly and tube 105. Hypodermicneedle assemblies are known to the art and commercially available. Ahypodermic needle assembly usually includes a hub 107 and a hollowneedle cannula 110 having a sharpened distal tip 111 and projectingoutwardly from the hub. Hub 107 includes a frusto-conically shapedtapered recess 122. Tapered hub recess 122 is adapted to removablyengage the conventional tapered tip of male luer adapters or male luerfittings which are conventional and known in the art. The engagement ofthe hub to the luer adapter is via a frictional interference fit.Adapter 106 is of the form known as a locking luer fitting in that inaddition to the tapered tip it has a collar 123 positionedconcentrically around the tip herein the inside of the collar contains athreaded projection 124 which is adapted to engage tabs 125 on the hub.The hub may be engaged to the adapter by rotating the hub so that thetabs follow the threaded projection forcing the engagement of taperedtip 119 into tapered hub recess 122. The locking luer-type fitting is astronger fitting because it not only obtains its strength from thefrictional interference fit but also from the threaded engagement of thecomponents. There is an uninterrupted fluid path extending betweennon-vented adapter 101 and needle cannula 110. It is within the purviewof the instant invention to provide a parenteral fluid administrationset which encompasses a wide variety of fluid delivery means connectedto the flexible tube including a direct connection of a sharpenedcannula to the flexible tube, and a wide variety of specializedadapters, and the arrangement described hereinabove is exemplary ofthese many possibilities.

A pinch-type closure means such as clamp 112 is operatively associatedwith tube 105 for selectively opening and closing the tube to thepassage of fluid. In FIG. 8, clamp 112 is illustrated in an openposition. By manually squeezing clamp 112 so that edge 127 engagesrecess 128 will cause projections 129 and 130 to squeeze the outsidesurface of tube 105 sufficiently to collapse the tube and prevent thepassage of fluid therethrough. Clamp 112 may be easily opened or closedby simple digital manipulation.

In use, a secondary I.V. administration set is used in conjunction witha primary I.V. administration set. Primary I.V. administration setsusually contain most of the elements of a secondary I.V. administrationset. In addition, the primary administration set will usually contain a"Y" site which includes a pierceable septum so that the sharpened distaltip of the hollow needle cannula of the secondary I.V. administrationset may be inserted therethrough to establish fluid communicationbetween the primary and the secondary I.V. administration sets. Thefluid delivery means in a primary I.V. administration set usuallyincludes a needle cannula which is inserted into an I.V. catheterassembly which is in turn inserted into the patient's vein. A primaryI.V. set will also include flow control means operatively associatedwith the tube for varying the flow of parenteral fluid through the tubeand, accordingly, into the patient.

FIG. 11 illustrates an alternative embodiment of the parenteral fluidadministration set of the present invention. This embodiment is aprimary I.V. set for delivery of intravenous fluid from a ventedcontainer, such as the variable-volume vented container, directly to anI.V. catheter assembly (not shown) and into the patient's venous system.This alternative parenteral fluid administration set is a primary I.V.administration set 200 which includes components which are substantiallyidentical to the components of the embodiment of FIGS. 8-10.Accordingly, similar components performing similar functions will benumbered identically to those components in the embodiment of FIGS.8-10, except that a suffix "a" will be used to identify these componentsin FIG. 11. Primary I.V. administration set 200 is for use with avariable-volume vented container (not shown) having a chamber forretaining fluid and a frusto-conically shaped tip extending from thehousing having a passageway therethrough communicating with the chamber.Primary I.V. administration set 200 includes a non-vented adapter 101ahaving a frusto-conically shaped recess (not shown) therein adapted toremovably engage the tapered tip of the variable-volume ventedcontainer. The adapter includes a bore (not shown) therethroughcommunicating with the recess. A drip chamber 103a includes an upperportion 114a with a conduit (not shown) therethrough and a flexibletransparent hollow body portion 116a extending downwardly from upperportion 114a and terminating in a lower end 117a. Upper portion 114a isconnected to adapter 101a so that there is fluid communication betweenthe adapter and the upper portion. A flexible tube 105a having a firstend 118a and a second end 120a wherein the first end is connected tolower end 117a of the flexible body portion of the drip chamber. Fluiddelivery means for facilitating the delivery of parenteral fluid fromtube 105a to the patient is connected to the second end 120a of thetube. In this embodiment fluid delivery means includes a male lockingluer type adapter 106a having a tapered tip 119a for removably engagingthe hypodermic needle assembly or a catheter assembly, and establishingfluid communication between the tube and the needle assembly or catheterassembly. It is also within the purview of this invention to includeother fluid delivery means such as a sharpened hypodermic cannulaconnected directly to the tube without any hub or connector meansprovided. The primary I.V. administration set 200 also includes flowcontrol means operatively associated with tube 105a for varying the flowthrough the tube. In this embodiment, the flow control means includes aconventional roller clamp 201 including a housing 203 and a roller 204.This roller includes an axle-like projection (not shown) which rides ina recess (not shown) in the housing so that as the roller is rolledalong the longitudinal axis of the housing the outside diameter of theroller compresses the outside diameter of tube 105a so that the rolleris capable of squeezing tube 105a shut, not interfering with tube 105aand various positions therebetween. Accordingly, the roller is capableof changing the internal area of the tube available for the flow ofparenteral fluid and, therefore, is capable of controlling the fluidflow rate through the tube. Fluid flow rate is controlled by positioningthe roller along the housing and visually counting the drops ofparenteral fluid 205 through the transparent body portion 116a of thedrip chamber to determine the amount of parenteral fluid being deliveredto the patient and adjusting this amount upwardly or downwardly bymoving roller 204. It is also within the purview of the instantinvention to include other means for controlling flow including othermechanical devices and electromechanical means for controlling the flow.

I.V. administration set 200 also includes access means in the form of a"Y" connector 206 connected to tube 105a between drip chamber 103a androller clamp 201. Connector 206 includes connector housing 207 whichinterrupts tube 105a but allows uninterrupted flow along the tube. Theinterior of housing 207 is generally hollow and includes a port (notshown) covered by a pierceable septum 210 which is adapted to be piercedby a sharpened cannula to allow introduction of additional parenteralfluid into the primary I.V. set. Septum 210 is further adapted to sealitself upon the removal of the sharpened cannula.

It is desirable to include a one-way valve (not shown) along tube 105abetween drip chamber 103a and "Y" connector 206 to allow fluid flow fromthe drip chamber to the "Y" connector but not in the reverse direction.As will be explained in more detail hereinafter, the one-way valve willterminate flow from the primary I.V. reservoir when the secondary I.V.reservoir applies more fluid pressure to the "Y" connector than theprimary I.V. reservoir.

While the instant variable-volume vented container assembly may be usedwith a primary I.V. set 200 or a secondary I.V. set 100, the function ofthe variable-volume vented container and the I.V. administration setwill be described herein, for purposes of simplicity, as being used as asource of parenteral fluid through the secondary I.V. administrationset. FIGS. 12 through 16 illustrate the variable-volume containerassembly of FIGS. 6 and 7 in use. As will become apparent hereinafter,the embodiments of FIGS. 1 through 5 can be used with a secondary I.V.set in a similar manner as the embodiment of FIGS. 6 and 7. In use, theuser having a filled variable-volume vented container assembly and asecondary I.V. administration set closes the clamp on the secondary I.V.set, removes the tip cap from the filled container 70 and forces thetapered tip of the housing into tapered adapter 101 of the secondaryI.V. set or if locking luer fittings are used the tapered tip is rotatedinto engagement with the adapter. At this time the user suspends thecontainer assembly from an I.V. pole (not shown) or similar device, andlowers the source of primary I.V. fluid (not shown) so that thesecondary container is in a higher position. Then, as best illustratedin FIG. 13, the user squeezes the flexible transparent drip chamber 103,applying force P to the drip chamber side walls. The pressure created bysqueezing the drip chamber causes a pressure increase in the fluidsystem and further causes stopper 80 to move in a proximal directionexposing air-permeable liquid-impermeable element 79. Also, thesqueezing force is repeated to start the flow of fluid from the ventedcontainer into the drip chamber as best illustrated in FIG. 14. Theclamp (not shown) on the secondary I.V. setup is now opened and anadditional squeezing action on the drip chamber will cause parenteralfluid 87 to flow through the entire secondary I.V. setup purging all airtherefrom. The clamp is now closed and the container and the I.V. setappear as in FIG. 15. Next the cannula of the secondary I.V. setup isinserted into the pierceable septum of the "Y" site of the primary I.V.line and the clamp is then opened. Parenteral fluid will now flowthrough the secondary administration set, the Y-site of the primary setand into the patient. The higher fluid pressure of the secondary I.V.setup will force the one-way valve in the primary I.V. set to close thustemporarily terminating the flow of fluid from the primary I.V.reservoir, into the patient. The rate of flow may be adjusted by thevariable clamp on the primary I.V. set. As parenteral fluid leaves thevariable-volume vented container assembly, atmospheric air A will passthrough air-permeable liquid-impermeable element 79 into chamber 73 toreplace the volume of liquid which has flow out of the chamber. Duringuse the stopper will not move and the volume described by that portionof the chamber between the distal end of stopper 80 and the distal end75 of the housing will remain relatively constant. When element 79 ismade with material having a maximum pore rating of about 0.5 micron, theair entering the chamber will be filtered of particulate matter andmicroorganisms, 0.5 microns and larger, so that the parenteral fluid isnot contaminated by this particulate matter and microorganisms from theenvironment. Also, in some situations, parenteral fluids, such ascertain antibiotics and chemotherapy solutions, contain potentiallyhazardous components or living organisms which must be contained withinthe syringe and not allowed to escape and contaminate the environment.Here again, the air-permeable, liquid-impermeable element of the presentinvention serves the useful purpose of protecting the environment fromthe components of the parenteral fluid which should remain isolatedtherefrom. When the parenteral fluid from the vented container istransferred to the patient another vented container may be attached.When the secondary system empties the one-way valve in the primary I.V.set will open so that the primary setup may resume the infusion ofparenteral fluids therefrom into the patient.

The housing may be constructed of a wide variety of rigid materials suchas metals, plastics, glass and ceramics. Plastic and glass are preferreddue to their transparency and compatibility with many medicationformulations. A wide variety of materials, such as natural rubber,synthetic rubber and thermoplastic elastomers, are suitable for thestopper with natural rubber and butyl rubber being preferred. The choiceof stopper formulation will be dependent on compatibility with theparenteral solution being stored. If a plunger rod is used, a widevariety of materials such as plastics and metals are suitable for theplunger rod with thermoplastic materials such as polypropylene,polyethylene and polystyrene being preferred.

Air-permeable liquid-impermeable materials in thin sheet or membraneform, or in more substantial thicknesses which can be formed into plugs,are known and available. For example, W. L. Gore and Associates, Inc. ofElkton, MD produces filter material known as GOR-TEX® membranes whichare capable of being air-permeable liquid-impermeable and also can bemanufactured in a variety of pore ratings to allow filtration ofmicroorganisms. A 0.5 pore rating is preferred, however, smaller orlarger pore ratings may be desirable in specific circumstances.Air-permeable liquid-impermeable membranes are available in polymericmaterials such as polytetrafluoroethylene, polyester, polyvinylchloride, polypropylene, polyethylene and the like preferably ranging inthickness from about 0.003 to 0.010 inches (0.0076 to 0.0025 cm). It isalso possible to laminate the air-permeable, liquid-impermeable membranematerial to a backing sheet which will provide increased structuralintegrity and stability to the structure to help prevent theair-permeable liquid-impermeable element from being damaged during use.The element may experience pressure of about 3 psi when the drip chamberis being compressed. Some non-woven fabrics are suitable for thisbacking sheet in as much as they are porous and can be made relativelythin, while being strong. In this respect, and although other materialsmay be chosen, such non-woven materials may be selected from the groupof materials consisting of polypropylene, polyethylene, and polyester.It is possible to choose a backing sheet material which has good heatsealing properties so that, with the plastic housing, the element may beheat sealed over an aperture in the housing. In this case theair-permeable, liquid-impermeable element can be chosen primarily forits performance characteristics and the backing sheet can be chosen forits processability characteristics to improve the overall structure ofthe assembled product. Also, the element, or the element laminated to abacking sheet, may be heat sealed or attached to a plug or cap having aconduit therethrough using any suitable means. The plug or cap couldthen be forced into or over, or in some other way attached to theaperture in the housing during the assembly process. This form ofmanufacture may be desirable because in cases where the element is notproperly attached only the plug will have to be discarded and not theentire housing.

A wide variety of rigid materials are suitable for the various rigidcomponents of the parenteral fluid administration set such as thenon-vented adapter, the upper portion of the drip chamber, the lueradapter, etc., with thermoplastic materials such as polypropylene andpolyethylene being desirable and ABS being preferred. The flexible tubeis preferably made of extruded polymeric tubing with polyolefins andpolyvinylchloride being preferred. The flexible transparent body portionof the drip chamber is preferably made of polymeric material such aspolyvinyl chloride. The components of the parenteral fluidadministration set may be joined together via the use of adhesive, heatsealing, ultrasonic welding or other suitable means. It is preferredthat the fluid contacting surfaces of the vented container assembly andthe parenteral fluid administration set be sterile, accordingly, allcomponents should be chosen also for compatibility with thesterilization process being used.

Thus, it can be seen that the present invention provides a simple,straightforward, reliable, easily fabricated variable-volume ventedcontainer assembly for the storage and administration of parenteralfluids. The instant invention is inexpensive to manufacture and becauseof its air-permeable liquid-impermeable venting means the adapters usedwith the instant invention need not contain additional filters andvalves. This is an important feature of the present invention becauseadapters containing valves sometime become clogged or allow fluid toescape through the valve which, in either case, compromises theintravenous delivery. The instant invention provides a variable-volumecontainer assembly which can be easily filled in the hospital pharmacyusing known inexpensive filling devices commonly used for fillinghypodermic syringes so that additional equipment is not necessary. Theinstant invention also provides a simple, straightforward, reliable,easily fabricated parenteral fluid administration set for use with thevariable-volume container assembly and other vented containerassemblies.

What is claimed is:
 1. A non-vented parenteral fluid administration setin combination with a vented container including a housing having achamber for retaining fluid and a frusto-conically shaped tip extendingfrom said housing having a passageway therethrough communicating withsaid chamber, comprising:a non-vented adapter having a frusto-conicallyshaped recess therein removably engaging the frusto-conically tip of thevented container, said adapter having a bore therethrough communicatingwith said recess, said bore being positioned to allow fluidcommunication between said bore and the passageway in the ventedcontainer tip; a drip chamber having an upper portion with a conduittherethrough and a flexible transparent body portion extendingdownwardly from said upper portion and terminating in a lower end, saidupper portion being connected to said adapter so that said bore and saidconduit are in fluid communication; a flexible tube having a first endconnected to said lower end of said body portion and a second end; andfluid delivery means for facilitating the delivery of parenteral fluidfrom said tube to the patient connected to said second end of said tube.2. A non-vented parenteral fluid administration set in combination witha vented container including a housing having a chamber for retainingfluid and a frusto-conically shaped tip extending from said housinghaving a passageway therethrough communicating with said chamber,comprising:a non-vented adapter having a frusto-conically shaped recesstherein removably engaging said frusto-conically shaped tip of saidvented container, said adapter having a bore therethrough communicatingwith said recess, said bore being positioned to allow fluidcommunication between said bore and the passageway in the ventedcontainer tip; a drip chamber having an upper portion with a conduittherethrough and a flexible transparent body portion extendingdownwardly from said upper portion and terminating in a lower end, saidupper portion being connected directly to said adapter so that said boreand said conduit are in fluid communication; a flexible tube having afirst end connected to said lower end of said body portion and a secondend; fluid delivery means for facilitating the delivery of parenteralfluid from said tube the patient connected to said second end of saidtube; and pinch-type closure means operatively associated with said tubefor selectively opening and closing said tube to the passage of fluid.